CHPN Education, Support, and Advocacy 2

Question 1

A hospice nurse is educating a family about the dying process. Which sign should the nurse explain as indicating death is likely within hours to days?

Accepted Answer

Mottling of the extremities and Cheyne-Stokes respirations

Answer

Mottling of the extremities and Cheyne-Stokes respirations are late signs indicating imminent death, typically within hours to days.

Question 2

Which approach best supports health literacy when educating a patient with low literacy about medication schedules?

Accepted Answer

Use the teach-back method with simple language and visual aids

Answer

The teach-back method combined with plain language and visuals is the gold standard for confirming understanding in patients with low health literacy.

Question 3

A caregiver expresses guilt saying 'I should be able to do more for my mother.' What is the MOST therapeutic response from the hospice nurse?

Accepted Answer

Explore the feelings of guilt and validate the caregiver's experience

Answer

Exploring and validating the caregiver's feelings of guilt allows for therapeutic communication and identifies unmet support needs.

Question 4

When advocating for a hospice patient's right to refuse treatment, the nurse should FIRST:

Accepted Answer

Ensure the patient has decision-making capacity and understands the consequences

Answer

Before acting on a refusal, the nurse must confirm the patient has decision-making capacity and comprehends the potential outcomes.

Question 5

A hospice patient's advance directive states 'no artificial nutrition.' The patient's adult child insists on a feeding tube. The nurse's BEST action is to:

Accepted Answer

Advocate for the patient's documented wishes and involve the interdisciplinary team

Answer

The nurse's primary advocacy role is to uphold the patient's documented wishes and engage the interdisciplinary team and ethics resources as needed.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN Education, Support, and Advocacy 2